| NPI | 1225793086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN LBA1362) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-19-76063) |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2023-11-02 |